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Burden of Disease

Burden of Disease

Description of the DiseaseGlobal EpidemiologyIndian EpidemiologyPneumococcal Disease and InfluenzaChallenges

Risk Factors
 

Risk Factors

Secondary Infections
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Secondary Infections

Mechanism of Action
​​​​​​​

Mechanism of Action

Prevention of Pneumococcal Disease
 

Polysaccharide VaccineConjugate VaccineDifference

Need for Pneumococcal Vaccination

In ElderlyIn India

Cost-effectiveness of PCV13
 

NeedIndian StudiesGlobal Studies

Legacy of Prevenar
 

ManufacturingCRM197Activation and ConjugationPneumococcal Disease and InfluenzaDistributionVideos

Safety
 

Safety

Conclusion
 

Conclusion
Dosing

Dosing
 

Adults ≥18 Years of AgeAdults ≥50 Years of AgeCOVID VaccinationFlu Vaccination
Efficacy

Prevenar 13® Clinical Experience
 

IntroductionClinical Trials

Efficacy of Prevenar 13®
 

IntroductionStudyObjectiveMethodologyCriteriaResultsConclusion

Effectiveness of Prevenar 13® 
 

IntroductionObjectiveMethodologyAnalysisResultsLimitationsLearningsConclusion

Indian Clinical Trials
 

IntroductionStudy DesignResultsLimitationsConclusion
Recommendations for Use

Recommendations for Use
 

ACIP 2019NCCN 2020RSSDI 2020IMA GuidelinesIAOH Guidelines for Working AdultsClinical Practice Guidelines 2019 (ICS/NCCP)The Geriatric Society of India, 2015Indian Society of Nephrology
FAQs

PCV13 in Pulmonology
 

RoleComplicationsClinical DataRecommendations

PCV13 in Nephrology
 

RoleClinical DataRecommendations

PCV13 in Oncology
 

RoleClinical DataRecommendations

PCV13 in Rheumatology
 

RoleComplicationsDataRecommendationsConsensus

PCV13 in Diabetes
 

RoleComplicationsDataRecommendations

PCV13 in HIV Infection
 

RoleBurdenPulmonary InfectionDataEfficacyRecommendations

PCV13 in Cardiology
 

RoleBurdenComplicationsDataRecommendations
Resources

Resources

Summary of Prescribing InformationDownloadable ResourcesExplore EventsExplore VideosExplore MaterialsLatest Articles

Recommendations

What Are the National and Global Recommendations for Pneumococcal Vaccination in Patients With Rheumatologic Diseases?

   

Different global guidelines from the ACR (2015), EULAR (2019), Finnish Rheumatology Association (2012), Canadian Rheumatology Association (2012), Brazilian Society of Rheumatology (2012) and the British Society for Rheumatology (2019) recommend pneumococcal vaccination in patients with rheumatic diseases. With regard to the type of pneumococcal vaccines, PCV13 or PPSV23, recommendations vary among different countries. The US ACIP (2019), SItI and STIKO at the Robert Koch Institute provide the general recommendations on vaccinating immunocompromised patients including iatrogenic immunosuppression.1-9 The IMA (2018) recommends completing the immunisation schedule of rheumatology patients before initiating immunosuppressive therapy.10

   

   

ACIP, Advisory Committee on Immunization Practices; ACR, American College of Rheumatology; EULAR, European League Against Rheumatism; IMA, Indian Medical Association; PCV13, 13-valent pneumococcal conjugate vaccine; PPSV23, 23-valent pneumococcal plain polysaccharide vaccine; SItI, Board of the Italian Society of Hygiene; STIKO, Standing Committee on Vaccination.

   

​​​​​​​References:

Singh JA, Saag KG, Bridges SL Jr, et al. 2015 American College of Rheumatology guideline for the treatment of rheumatoid arthritis. Arthritis Care Res (Hoboken). 2016;68(1):1-25.Furer V, Rondaan C, Heijstek MW, et al. 2019 update of EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases. Ann Rheum Dis. 2020;79(1):39-52.Repo H, Peltomaa R. Vaccination of adults with inflammatory rheumatic diseases. Finnish Rheumatology Association. Accessed May 17, 2022. http://www.reumatologinenyhdistys.fi/files/rokotus.pdfBombardier C, Hazlewood GS, Akhavan P, et al. Canadian Rheumatology Association recommendations for the pharmacological management of rheumatoid arthritis with traditional and biologic disease-modifying antirheumatic drugs: part II safety. J Rheumatol. 2012;39(8):1583-1602.Brenol CV, Henrique da Mota LM, Cruz BA, et al. 2012 Brazilian Society of Rheumatology consensus on vaccination of patients with rheumatoid arthritis. Rev Bras Reumatol. 2013;53(1):4-23.Holroyd CR, Seth R, Bukhari M, et al. The British Society for Rheumatology biologic DMARD safety guidelines in inflammatory arthritis- Executive summary. Rheumatology (Oxford). 2019;58(2):220-226.Matanock A, Lee G, Gierke R, Kobayashi M, Leidner A, Pilishvili T. Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine among adults aged ≥65 years: updated recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep. 2019;68(46):1069-1075.Vaccination Board of the Italian Society of Hygiene indications of pneumococcal vaccine in adults at risk. Italian Society of Hygiene. Accessed May 17, 2022. http://www.igienistionline.it/docs/2012/30pneumo.pdfVaccination recommendations by STIKO. Robert Koch Institute – German Federal Ministry of Health. Accessed May 17, 2022.
https://www.rki.de/EN/Content/infections/Vaccination/recommandations/recommendations_node.html
Tandon RN, Ravindra W, Monga VK. Life Course Immunization Guidebook. A Quick Reference Guide. Indian Medical Association; 2018.
Accessed May 17, 2022. http://www.ima/india.org/ima/pdfdata/IMA_LifeCourse_Immunization_Guide_2018_DEC21.pdf

   

Please click the Prescribing Information link to view the safety and adverse events information of Prevenar 13®.
For the use only of Registered Medical Practitioners or a Hospital or a Laboratory.

   

PP-PRV-IND-0661 July 2023


PCV13 in Rheumatology

Dosing

Help protect your adult patients against pneumococcal pneumonia with single-dose administration

Learn more

   

Efficacy

Efficacy proven by the CAPiTA study

Learn more

   

Recommendations for Use

The ACIP recommends routine use of PCV13 among adults

Learn more

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